Emily S Patterson

Emily S Patterson
The Ohio State University | OSU · School of Health and Rehabilitation Sciences

phd

About

275
Publications
102,885
Reads
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6,140
Citations
Introduction
Emily S Patterson currently is a Professor at the School of Health and Rehabilitation Sciences in the College of Medicine at The Ohio State University. Dr. Patterson does research in Human Factors Engineering. Her research interests are patient safety, informatics, and communication.
Additional affiliations
January 2010 - present
The Ohio State University
Position
  • Professor (Associate)
January 2000 - December 2007
U.S. Department of Veterans Affairs
Position
  • Researcher

Publications

Publications (275)
Article
Sonographers experience a high cognitive load in hospital-based care. High ambient noise and frequent noise-based interruptions include knocking on the room door, questions from others in the room or through communication technology, alarms, alerts from personal devices, and carts and people passing in the hallway. In addition, other providers turn...
Article
Objective Reduce nurse response time for emergency and high-priority alarms by increasing discriminability between emergency and all other alarms and suppressing redundant and likely false high-priority alarms in a secondary alarm notification system (SANS). Background Emergency alarms are the most urgent, requiring immediate action to address a d...
Article
We present a framework for using augmented reality (AR) to train sensemaking skills in combat medics and civilian emergency medical personnel. AR and other extended reality technologies create engaging training environments, but their effectiveness on training outcomes is not yet clear. One benefit of AR is that it can enhance simulation training w...
Article
Simulation-based training systems should be tailored to the actual work environment of the envisioned audience of learners. After building an augmented reality-based training system for combat medics, we began to explore strategies for adapting the training to medical students. While people who provide medical care on the battlefield and people who...
Article
Assessing hospital environment conditions is necessary for healthcare providers and patients to coordinate safe care. The aims of this research included: a) identifying patterns in hospital visit feedback transcripts regarding bathroom doors and lights in the hospital room and b) interpreting the results to make recommendations for more enabling cl...
Article
We used incident reports to improve treatment planning in radiation oncology to advance patient safety. First, a cluster of related reports enabled discovery of communication issues for setup instructions stemming from a text box with a limited character size. A redesigned process used structured data and image formats to reduce the proportion of i...
Article
Recent developments in the portability, flexibility, and affordability of augmented reality technology allow it to address some limitations of current medical training. This pilot study aims to determine whether augmented reality can enhance the detection and identification of subtle cues used to make accurate medical diagnoses. We randomly assigne...
Article
Obstetrics and gynecology is considered one of the most litigious medical specialties; medical negligence and malpractice lawsuits are frequently filed to seek damages for improper medical care during childbirth. In fact, several studies have shown that a much greater percentage of maternal injury claims result in settlements or judgments as compar...
Article
Objective Address the alarm problem by redesigning, reorganizing, and reprioritizing to better discriminate alarm sounds and displays in a hospital. Background Alarms in hospitals are frequently misunderstood, disregarded, and overridden. Method Discovery-oriented, intervention, and translational studies were conducted. Study objectives and measu...
Article
Nurses working in the hospital setting increasingly have become overburdened by managing alarms that, in many cases, provide low information value regarding patient health. The current trend, aided by disposable, wearable technologies, is to promote patient monitoring that does not require entering a patient’s room. The development of telemetry ala...
Article
Background Limited research exists on patient knowledge/cognition or “getting inside patients' heads.” Because patients possess unique and privileged knowledge, clinicians need this information to make patient-centered and coordinated treatment planning decisions. To achieve patient-centered care, we characterize patient knowledge and contributions...
Article
Over the last several years, a number of human factors researchers have been integral to the advent and success of AHRQ’s Patient Safety Learning Laboratories (PSLLs). This panel is made up of researchers involved in this program of research and co-chaired by two different project PIs. The goal of this panel is to share what panelists have learned...
Article
Over the last 15 years, healthcare delivery has experienced enormous changes across every aspect of clinical care, both for participants in it and affiliated stakeholders. The plethora and breadth of these changes and ongoing struggles with their incorporation into the work of healthcare begs the question: In 2035, what emerging innovations and con...
Article
Full-text available
Lan is a high prevalence red blood cell antigen present in the majority of the populations that belong to the Lan (Langereis) blood group system. Anti-Lan antibody is an immunoglobulin G (IgG) antibody that is known to cause delayed hemolytic transfusion reactions in adults as well as hemolytic disease in fetuses and newborns, however with variable...
Conference Paper
There is a great need for creating schedules that are optimized. Yet, some individuals have had less than desirable experiences with "optimal" scheduling. This could have been due to prioritization of the wrong criteria, leading to schedules that did not make practical sense, or that were math-intensive and were not able to be easily interpreted. A...
Conference Paper
Immersive technology such as virtual, augmented, and mixed reality has been used in entertainment. Applying this technology for educational purposes is a natural extension. We tested the ability of immersive technology to enhance medical education within a scenario about progressively worsening tension pneumothorax using a virtual patient. The goal...
Article
Study objectives: Person-centered obstructive sleep apnea (OSA) care is a collaborative approach that is respectful of an individual's health priorities. Informed decision-making is essential to person-centered care, especially as patients age. In a feasibility study, we evaluated the effects of a new decision aid (Decide2Rest) on OSA treatment de...
Conference Paper
Many are interested in how to safely ramp up elective surgeries after national, state, and voluntary shutdowns of operating rooms to minimize the spread of COVID-19 infections to patients and providers. We conducted an analysis of diverse perspectives from stakeholders regarding how to trade off risks and benefits to patients, healthcare providers,...
Conference Paper
At the outset of the COVID-19 pandemic, many cancer surgeries were delayed due to the unique challenges around allocating and conserving resources to treat patients with COVID-19 and reduce risk of infection for clinicians and communities. Thus there is an urgent need to develop support solutions to ensure that more time-sensitive surgeries can be...
Article
Full-text available
Human factors engineering can enhance software usefulness and usability. We describe a multi-method approach to improve clinical decision support (CDS) for antibiotic stewardship. We employed a heuristic review to generate recommendations to improve the usability of a prototype CDS to support empiric antibiotic prescribing in the hospital setting....
Article
The fields of healthcare and aviation can learn from one another about alerts and their potential for effective application through predictive analytics. We conducted a series of interactive discussions between an expert in alerts in aviation cockpits and graduate students specializing in the application of machine learning in healthcare, and parti...
Article
Immersive technologies, which include augmented, virtual, and mixed reality are increasingly accessible to educators. For this literature review, we assessed the gaps that exist in current literature that have the potential to be filled by immersive technology. Five key websites were used to identify resources specific to pneumothorax anatomy. The...
Article
Full-text available
We assess the relationship of active or passive presentation of Best Practice Advisories (BPAs) for hospital clinicians with compliance rates of recommended actions. We identify the design characteristics of alerts that can be used to assess the effectiveness of design choices with superior usability. Alerts in Electronic Health Records (EHRs) are...
Article
Full-text available
We identify useful functions and usability characteristics of a historical cognitive artifact used by nurses working in a hospital unit, the Kardex. By identifying aspects of a widely used artifact, we uncover opportunities to improve the usefulness of current systems for hospital nurses. We conducted semi-structured interviews with registered nurs...
Article
We aim to use a macrocognition theoretical perspective to characterize contributors to diagnostic delays by physicians that can be mitigated by work system redesign. As experienced with other complex, sociotechnical domains, system redesign is anticipated to be more effective at improving safety than training-based solutions. In the outpatient care...
Article
Identifiability and perceived urgency were compared between two sets of alarms in a healthcare inpatient setting. One contained currently used alarms where possible, with new sounds added as needed. The other was designed together, and was more heterogenous, used timbre to encode intended similarities, and explicitly encoded intended urgency across...
Article
There is growing interest in using AI-based algorithms to support clinician decision-making. An important consideration is how transparent complex algorithms can be for predictions, particularly with respect to imminent mortality in a hospital environment. Understanding the basis of predictions, the process used to generate models and recommendatio...
Article
Full-text available
Hospital nurses are inundated by numerous non-actionable and false telemetry alarms from bedside monitors, central nursing stations, and, in some cases, also from alarms escalated to hospital-provided cellphones after a short time period. There is widespread that patients electing to have DNR/comfort care status do not require telemetry monitoring,...
Article
Full-text available
There is growing interest in using immersive technology, which includes augmented, virtual, and mixed reality, in medical education. We conducted a narrative literature review to identify elements to consider when using immersive technologies in medical education. Our search revealed clusters of key articles for different applications that point to...
Article
Full-text available
We propose a toolkit for objectively evaluating the effectiveness of new technologies for improving human cognitive performance. In complex socio-technical systems such as nuclear power generation and air traffic management, garden path scenarios have been effectively used to anchor initial inaccurate hypotheses that are then monitored for movement...
Article
Full-text available
As augmented reality (AR) technology offers enhanced capabilities for medical simulation training, research is required to understand how to best leverage the strengths of AR. We describe a literature review that will provide the foundation for articulating and testing candidate principles for AR adaptive training design. Our goal is to articulate...
Article
Full-text available
Translating validated handover protocols from physicians in non-critical care settings to nursing report in critical care is challenging. Our objectives are to identify information content in verbal reports, where information is documented, and the function of non-documented communication. This is a descriptive study of 20 reports describing 27 pat...
Article
There is growing interest in implementing whole-slide imaging (WSI) for primary diagnosis. Ten subspecialized pathologists (2-39 years of experience) were interviewed from diverse subspecialty areas in a large academic medical center. Relevant semi-structured interview questions included image quality, workflow, and usability during clinical use. A...
Article
Objectives: This research investigated medical/surgical (Med/Surg) patient room design to accommodate the needs of hospital staff, while at the same time accommodating the needs of patients and their visitors. Background: Designing hospital patient rooms that provide a comfortable healing experience for patients, while at the same time meeting t...
Poster
Introduction Person-centered care is a collaborative approach that is respectful of, and responsive to an individual’s priorities, goals, needs, and values. For obstructive sleep apnea (OSA), this includes informing patients of their treatment options and actively engaging them in treatment decisions so that the treatment plan reflects what matters...
Article
Objective: The aim of the study was to analyze diverse patients' experiences throughout the medication use process to inform the development of overarching interventions that support safe medication use in community settings. Methods: Using a qualitative observational approach, we conducted approximately 18 hours of direct observation of the med...
Preprint
BACKGROUND There are gaps in delivering evidence-based care for patients with chronic liver disease and cirrhosis. OBJECTIVE Our objective was to use interactive user-centered design methods to develop the CirrODS (Cirrhosis Order set and clinical Decision Support) tool in order to improve clinical decision-making and workflow. METHODS Two workgr...
Article
We identify the value and usage of a cognitive artifact used by hospital nurses. By analyzing the value and usage of workaround artifacts, unmet needs using intended systems can be uncovered. A descriptive study employed direct observations of registered nurses at two hospitals using a paper workaround (“brains”) and the Electronic Health Record. F...
Article
Objective: This study examined the relationships among nurse fatigue, individual nurse factors, and the practice environment in the inpatient setting. Background: Nurse fatigue affects the quality of care provision on inpatient units. Scant literature exists regarding how aspects of the practice environment relate to nurse fatigue. Methods: A...
Article
Full-text available
Although numerous healthcare organizations have transitioned from one electronic health record (EHR) to another or are currently planning a transition, there are few documented artifacts, such as published studies or operationalizable resources, that offer guidance on such transitions. This panel seeks to begin a conversation about human factors co...
Article
Objective: To identify family members' and visitors' needs with relation to the design of a hospital room. Background: There is a trend toward incorporating family zones in hospital patient rooms in order to improve patient satisfaction and encourage family caregivers to stay longer and overnight. Method: A mixed-method study was employed. Int...
Article
Our objective is to operationalize a novel antibiotic advisor, called the personalized weighted incidence syndromic combination antibiogram (pWISCA), intended to help physicians with initial antibiotic choice in hospitals. Clinical decision support tools are a promising technology for providing evidence-based guidance that incorporates data about p...
Article
Full-text available
Strategies for assessing macrocognitive skill must be tailored to work domains and specific tasks. This paper describes one approach for leveraging the critical decision method, a structured interview technique, to develop an assessment method for new technologies. The approach uses garden path scenarios, where initial cues suggest a different (fal...
Article
Full-text available
Critical Decision Method (CDM), a popular cognitive task analysis (CTA) method, is an in-depth retrospective interview that uses a historical non-routine incident to identify experts’ decision-making factors in complex socio-technical settings with high consequences for failure. However, it is challenging to use CDM to make comparisons, including t...
Article
Full-text available
The overarching objective of this research is to reduce the burden of documentation in electronic health records by registered nurses in hospitals. Registered nurses have consistently reported that e-documentation is a concern with the introduction of electronic health records. As a result, many nurses use handwritten notes in order to avoid using...
Article
Full-text available
The overarching objective of this research is to reduce the burden of ‘alert fatigue’ on patients and family caregivers who stay overnight in hospitals on units that provide continuous monitoring of cardiac and respiratory systems. When a patient develops respiratory compromise on the medical-surgical units of the hospital, the mortality rate is 29...
Article
An increase in providing hospital bedside imaging examinations could be contributing to the risk of musculoskeletal injuries among imaging professionals. Given the increasing demand for portable bedside imaging, a research project was conducted in three phases: (1) interviews and focus group sessions, (2) full-scale mock-up sessions where occupatio...
Article
Objective To integrate and synthesize insights from recent studies of workarounds to the intended use of health information technology (HIT) by health care professionals. Background Systems are safest when the documentation of how work is done in policies and procedures closely matches what people actually do when they are working. Proactively iden...
Article
Objectives: The objectives of this research were to describe the interactions (formal and informal), in which macrocognitive functions occur and their location on a pediatric intensive care unit, to describe challenges and facilitators of macrocognition using space syntax constructs (openness, connectivity, and visibility), and to analyze the heal...
Article
Pathology Image Informatics Platform (PIIP) is an NCI/NIH sponsored project intended for managing, annotating, sharing, and quantitatively analyzing digital pathology imaging data. It expands on an existing, freely available pathology image viewer, Sedeen. The goal of this project is to develop and embed some commonly used image analysis applicatio...
Article
One in 3 patients is estimated to experience health care-related harm during hospitalization. This descriptive, cross-sectional study used the Safety Attitudes Questionnaire to measure interprofessional staff perceptions of safety and teamwork climate and a retrospective, modified Global Trigger Tool chart review methodology to measure unit-level p...
Article
Full-text available
Background Missed evidence-based monitoring in high-risk conditions (e.g., cancer) leads to delayed diagnosis. Current technological solutions fail to close this safety gap. In response, we aim to demonstrate a novel method to identify common vulnerabilities across clinics and generate attributes for context-flexible population-level monitoring sol...
Article
Our aim is to enhance the safety and efficiency of all healthcare staff by designing patient rooms that meet the physical and cognitive needs of those providing direct and indirect patient care in hospital settings. A mixed-methods study was employed, where findings were compiled from twenty-six environmental services personnel across study activit...
Article
Full-text available
Our aim was to elicit, label, and prioritize clusters of de-identified patient safety issues experienced during the implementation and upgrade installations of Electronic Health Records (EHRs) in hospitals. Conference participants included clinical personnel (physicians, nurses, pharmacists), human factors experts, patient safety experts, informati...
Article
Full-text available
Human factors engineering is an underutilized approach in the design, evaluation, and implementation of health information technology. Heuristic evaluation of the usability of an interface is a ‘low-hanging fruit’ for identifying a set of relatively simple modifications to a software program that can make software easier to use. In this paper, we d...
Article
Full-text available
Background: In early 2016 the Partnership for Health IT Patient Safety released safe practice recommendations for the use of copy-paste for electronic health record (EHR) documentation. These recommendations do not directly address nurses' use of copy-forward to document patient assessments in flow sheet software in hospital settings. Similar to c...
Article
Introduction Older adults’ preferences for aspects of obstructive sleep apnea (OSA) treatments have not been elicited. Discrete choice experiments (DCE) estimate preferences based on economic theory that value is derived from a combination of characteristics or attributes of the goods. We used DCE to elicit OSA treatment preferences and estimate re...